Firearm injuries and death are a serious public health concern in the United States. Firearm-related injuries account for tens of thousands of premature deaths of adults and children each year and significantly increase the burden of injury and disability. Firearm injuries are also costly to the health system, accounting for nearly $3 billion in emergency department and inpatient care each year. The National Academies of Sciences, Engineering, and Medicine convened a workshop to examine the roles that health systems can play in addressing the epidemic of firearm violence in the United States. This publication summarizes the presentations and discussions from the workshop.

Contents

• The National Academies of SCIENCES • ENGINEERING • MEDICINE
• PLANNING COMMITTEE ON HEALTH SYSTEMS INTERVENTIONS TO PREVENT FIREARM INJURIES AND DEATH
• Reviewers
• Acronyms and Abbreviations
• 1. Introduction
  • ORGANIZATION OF THE PROCEEDINGS
• 2. Why Do Health Systems Have a Role?
  • GUN VIOLENCE: A COMPLEX BIOPSYCHOSOCIAL DISEASE REQUIRING A STRENGTHENED HEALTH CARE SYSTEM RESPONSE
• 3. The Toll on Individuals and Communities
  • A PEDIATRIC VICTIM AND OPPORTUNITIES THE HEALTH SYSTEM HAD TO INTERVENE
  • THE PSYCHOLOGICAL AND SOCIAL BURDEN OF FIREARM VIOLENCE ON COMMUNITIES
  • DISCUSSION
• 4. Identifying Individuals at Higher Risk for Firearm Violence
  • IDENTIFYING SURVIVORS OF DOMESTIC VIOLENCE WHO ARE AT HIGH RISK FOR FIREARM-RELATED VIOLENCE
  • APPLYING A MEDICAL MODEL OF DISEASE TO IDENTIFY THOSE AT RISK OF FIREARM VIOLENCE
  • FACTORS TO CONSIDER WHEN THINKING ABOUT IDENTIFYING RISK OF FIREARM VIOLENCE
  • DISCUSSION
• 5. Developing Health System Interventions
  • DEVELOPING A FIREARM STORAGE DECISION AID TO ENHANCE COUNSELING ON ACCESS TO LETHAL MEANS
  • CREATING CONSENSUS: DEVELOPING A FIREARM INJURY RESEARCH AGENDA
  • DISCUSSION
• 6. Key Issues from the Workshop's First Day
  • GETTING HEALTH SYSTEMS INVOLVED
  • HELPING PROVIDERS WITH THE AFTERMATH OF GUN VIOLENCE
  • HELPING HEALTH SYSTEM LEADERS ACT
  • SHIFTING THE PARADIGM
  • DISCUSSION
• 7. Programs and Research
  • PROJECT UJIMA
  • HELPING INDIVIDUALS WITH FIREARM INJURIES CLINICAL TRIAL
  • SAFERTEENS: AN EVIDENCE-BASED YOUTH VIOLENCE PREVENTION PROGRAM
  • PARTICIPATORY APPROACHES TO IMPLEMENTING FIREARM SAFETY PROMOTION IN PEDIATRIC PRIMARY CARE
  • STATE OF THE SCIENCE FOR HOSPITAL-BASED VIOLENCE: RESEARCH AND POLICY IMPLICATIONS
  • DISCUSSION
• 8. Developing Networks and Sharing Information
  • BUILDING A LEARNING HEALTH CARE SYSTEM FOR SUICIDE PREVENTION
  • VIOLENCE INTERVENTION AND COLLABORATION
  • DISCUSSION
• 9. Developing a Culture of Health Care Providers as Interveners
  • HOSPITALS AGAINST VIOLENCE INITIATIVE
  • CONSENSUS-BASED FIREARM INJURY PREVENTION STRATEGY
  • THE CURE VIOLENCE APPROACH
  • DISCUSSION
• 10. Closing Remarks
• References
• Appendix A. Workshop Agenda
• Appendix B. Speaker Biographical Sketches

Suggested citation:

National Academies of Sciences, Engineering, and Medicine. 2019. Health systems interventions to prevent firearm injuries and death: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25354.

Digital Object Identifier: https://doi.org/10.17226/25354

Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

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